ALISSA BOLEK SPADE PA-C
NPI 1073109864
Physician Assistant in Austin, TX

Active since December 15, 2020PECOS EnrolledAccepts Medicare Assignment
11673 JOLLYVILLE RD STE 205, AUSTIN, TX 78759(512) 834-9999 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2026, Feb 18, 2025, Feb 11, 2025 and 2 more (5 updates tracked since 2020).

About Alissa Bolek Spade Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISSA BOLEK SPADE PA-C (NPI 1073109864) is an individual physician assistant in Austin, Texas, licensed in Texas (PA13956) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073109864
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALISSA BOLEK SPADECredential: PA-C
Location Address11673 JOLLYVILLE RD STE 205Austin, TX 78759-4211
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 15, 2020
Last NPPES UpdateJanuary 5, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
NPI 1073109864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA13956
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11673 JOLLYVILLE RD STE 205, Austin, TX 78759

Other Names 1

Former Name (1)Alissa Rosalia Bolek

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alissa Bolek Spade Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163816828
PECOS Enrollment IDI20220223002556
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
11673 JOLLYVILLE RD STE 205
AUSTIN, TX 78759
Physician Assistant
11673 JOLLYVILLE RD STE 205
AUSTIN, TX 78759

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alissa Spade's NPI number?

The NPI number for Alissa Spade is 1073109864. It was assigned to this individual provider in the NPPES registry on December 15, 2020. The provider is also known as Alissa Rosalia Bolek.

Where is Alissa Spade located?

Alissa Spade practices at 11673 Jollyville Rd Ste 205, Austin, TX 78759. The listed phone number is (512) 834-9999.

What is Alissa Spade's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alissa Spade enrolled in Medicare?

Yes. Alissa Spade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alissa Spade accept?

Health plans from Blue Cross and Blue Shield of Texas list Alissa Spade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alissa Spade affiliated with any hospitals?

According to CMS data, Alissa Spade is affiliated with Baylor Scott & White Medical Center - Round Rock.

When was this NPI record last updated?

The NPPES record for Alissa Spade was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.